Organization
INDUSTRIAL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL F YUST RPT (OWNER/PRESIDENT)
(417) 781-0082
Entity
Organization
Contact information
Practice address
4830 EAST 32ND STREET, SUITE 3, JOPLIN, MO 64804
(417) 781-0082
(417) 781-2893
Mailing address
320 EAST AUSTIN BLVD, NEVADA, MO 64772
(417) 667-6673
(417) 667-7733
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504587908
—
MO
Enumeration date
09/28/2006
Last updated
03/31/2010
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